RILEY PENCE MD
NPI 1730756685
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since June 09, 2021PECOS Enrolled
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 897-9479 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Mar 18, 2023, Jun 9, 2021 (3 updates tracked since 2021).

About Riley Pence Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RILEY PENCE MD (NPI 1730756685) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1730756685
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRILEY PENCECredential: MD
Location Address4445 MAGNOLIA AVERiverside, CA 92501-4199
Mailing Address4510 Brockton AveRiverside, CA 92501-4015 · (951) 897-9479
Sole ProprietorNo
Enumeration DateJune 9, 2021
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1730756685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4445 MAGNOLIA AVE, Riverside, CA 92501

Secondary Practice Location 1

Location 150 N Medical DrSalt Lake City, UT 84132-0001 · Phone (435) 757-0717

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Riley Pence Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Hospitalist
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Radiology (Diagnostic Radiology)
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Emergency Medicine
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riley Pence's NPI number?

The NPI number for Riley Pence is 1730756685. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Riley Pence located?

Riley Pence practices at 4445 Magnolia Ave, Riverside, CA 92501. The listed phone number is (951) 897-9479.

What is Riley Pence's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Riley Pence enrolled in Medicare?

Yes. Riley Pence is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Riley Pence was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.